Background It is generally accepted that evidence-informed decision making contributes to better health system performance and health outcomes, yet we are lacking benchmarks to monitor the impact of national health information systems (HIS) in policy and practice. Hence in this study, we have aimed to identify criteria for monitoring Knowledge Translation (KT) capacity within countries. Methods We conducted a web-based Delphi with over 120 public health professionals from 45 countries to reach agreement on criteria to monitor KT at the level of national HIS. Public health professionals participated in three survey rounds, in which they ranked 85 preselected criteria and could suggest additional criteria. Results Experts working in national (public) health agencies and statistical offices, as well as in health policy and care agreed on 29 criteria which constitute the Health Information (HI)-Impact Index. The criteria cover four essential domains of evaluation: the production of high-quality evidence, broad access and dissemination, stakeholder engagement and knowledge integration across sectors and in civil society. The HI-Impact Index was pretested by officials working in ministries of health and public health agencies in eight countries; they found the tool acceptable and user-friendly. Conclusions The HI-Impact Index provides benchmarks to monitor KT so that countries can assess whether high-quality evidence can be easily accessed and used by the relevant stakeholders in health policy and practice, by civil society and across sectors. Next steps include further refining the procedure for conducting the assessment in routine, and sharing experiences from HIS evaluations using the HI-Impact Index.

中文翻译：

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开发一种监测卫生系统知识转化的工具：国际德尔福研究的结果

背景 人们普遍认为，循证决策有助于改善卫生系统绩效和健康结果，但我们缺乏监测国家卫生信息系统 (HIS) 在政策和实践中的影响的基准。因此，在本研究中，我们旨在确定监测国家内知识翻译 (KT) 能力的标准。方法 我们与来自 45 个国家的 120 多名公共卫生专业人员进行了基于网络的 Delphi，以就在国家 HIS 层面​​监测 KT 的标准达成一致。公共卫生专业人员参与了三轮调查，他们对 85 项预选标准进行了排名，并可能提出其他标准。结果 在国家（公共卫生）机构和统计局工作的专家，以及在构成健康信息 (HI)-影响指数的 29 条标准上达成一致的健康政策和护理。该标准涵盖评估的四个基本领域：高质量证据的产生、广泛的获取和传播、利益相关者的参与以及跨部门和民间社会的知识整合。HI-Impact Index 由 8 个国家的卫生部和公共卫生机构的官员预先测试；他们发现该工具可接受且用户友好。结论 HI-Impact 指数为监测 KT 提供了基准，以便各国可以评估高质量的证据是否可以被卫生政策和实践中的相关利益攸关方、民间社会和跨部门轻松获取和使用。下一步包括进一步完善日常评估的程序，